| NPI | 1134577216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95018015) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95078056) |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2021-08-14 |